Individual
MRS. MARIE ANTOINETTE FEASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
801 GREENWOOD AVE, CLARKSVILLE, TN 37040
(931) 206-0644
Mailing address
1045 GLENHURST WAY, CLARKSVILLE, TN 37040
(931) 553-8193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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